Organization Active NPI

Magnetic Diagnostic Resources of Central New York, LLP

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • East Syracuse, NY
National Provider Identifier
1831196054
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MAGNETIC DIAGNOSTIC RESOURCES OF CENTRAL NEW YORK, LLP
Practice address
5000 Brittonfield Pkwy Ste A114
East Syracuse, NY 13057-9228
Phone
(315) 454-4810
Fax
(315) 299-8893
NPI assigned
Jul 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas D'Ambrosio, MD
Title
Authorized Official
Phone
(315) 362-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy Ste A114
East Syracuse, NY 13057-9228

Mailing address

5000 Brittonfield Pkwy Ste A114
East Syracuse, NY 13057-9228
Phone (315) 454-4810

Other identifiers 2

IdentifierTypeStateIssuer
02291532MedicaidNY
52017AOtherNYMEDICARE ID NUMBER

National Provider Directory

National Provider Directory

Locations

8278 Willett Pkwy
Baldwinsville, NY 13027
Phone (315) 452-2525

5700 W Genesee St
Ste 7
Camillus, NY 13031
Phone (315) 701-1670

5000 Brittonfield Pkwy
Ste A114
East Syracuse, NY 13057
Phone (315) 472-4701

4109 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7555

175 W Main St
Little Falls, NY 13365
Phone (315) 823-0351

1000 E Genesee St
Ste 100D
Syracuse, NY 13210
Phone (315) 493-9394

725 Irving Ave
Ste 209
Syracuse, NY 13210
Phone (315) 472-4364

736 Irving Ave
Ste 2499
Syracuse, NY 13210
Phone (315) 472-4364

301 Prospect Ave
#2118
Syracuse, NY 13203

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1831196054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A114",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579228",
            "telephone_number": "315-454-4810",
            "fax_number": "315-362-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A114",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579228",
            "telephone_number": "315-454-4810",
            "fax_number": "315-299-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNETIC DIAGNOSTIC RESOURCES OF CENTRAL NEW YORK, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "315-362-5129",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291532",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "52017A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.